TeamHealth
Louisville, Tennessee
Appeals Representative
Job details
- Location
- Louisville, Tennessee
- Work type
- Hybrid
- Posted
- 2 days ago
- Apply on
- sjobs.brassring.com
About this role
Job Category
Admin-Clerical, Administrative, Healthcare
External Job Title
Appeals Representative
Location
Hybrid
Marketing Location
Louisville, TN
Requirements
EXPERIENCE / SKILLS:
EDUCATION:
WORKING CONDITIONS:
- One year medical billing experience
- Knowledge of physician billing policies and procedures
- Computer literate
- Ability to work in a fast-paced environment
- Excellent organizational skills
- Ability to work independently
EDUCATION:
- High school diploma or equivalent.
WORKING CONDITIONS:
- This job will be performed in a well-lighted and well-vented environment. Requires constant sitting tolerance. Involves extensive computer use.
- Set in a pleasant, high-volume, fast-paced office environment.
- Overtime may be required and can be mandated by Management.
External Job Description and Responsibilities
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 –Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!
What we Offer
What we Offer
- Career Growth Opportunities
- A Culture anchored in a strong sense of belonging
- Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
- 401k (Discretionary match)
- Generous PTO
- 8 Paid Holidays
- Equipment Provided for Remote Roles
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary
- Reviews denials to determine appropriate action based on carrier requirements
- Posts appropriate rejection codes into system where applicable
- Obtains status by establishing carrier contact if the submitted appeal has yielded no response
- Identifies and forwards documentation to appeal disputed claims
- Assembles and forwards appropriate documentation to the senior representative for provider and carrier related issues
- Reviews carrier provider manuals for billing updates as needed
- Reports any consistent errors found during review that affect claims from being processed correctly
- Participates in department meetings with Accounts Receivable Team
- Identifies trends in claims filed outside carrier timely filing deadlines and offers suggestions to prevent future occurrences
- Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
- Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager
Career Builder
Yes
No